A-3.001, r. 1 - Regulation respecting medical aid

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SCHEDULE III
(s. 16)
PHYSIOTHERAPY OR OCCUPATIONAL THERAPY CARE AND TREATMENT ACCOUNT
  
O.C. 288-93, Sch. III; O.C. 888-2007, s. 11; O.C. 757-2011, s. 4; O.C. 565-2018, s. 17.
SCHEDULE III
(s. 16)
PHYSIOTHERAPY OR OCCUPATIONAL THERAPY CARE AND TREATMENT ACCOUNT
  
O.C. 288-93, Sch. III; O.C. 888-2007, s. 11; O.C. 757-2011, s. 4; O.C. 565-2018, s. 17.
SCHEDULE III
(s. 15)
CONTENT OF PHYSIOTHERAPY AND OCCUPATIONAL THERAPY REPORTS
1. An initial report, a progress report and a treatment termination report must contain
(1) the worker’s name, health insurance number, telephone number and address;
(2) the name and number of the member of the professional order;
(3) the name, telephone number and services supplier number or, where applicable, the group number;
(4) the signature of the member of the professional order who personally administered the treatment and the date of the signature;
(5) the name of the physician in charge of the worker and number assigned to the physician by the professional order or, if there is a change of physician, the name of the new physician and number assigned to the new physician by the professional order;
(6) the date of the employment injury and, where applicable, the date of any relapse, reoccurrence or aggravation;
(7) the diagnosis by the physician in charge of the worker;
(8) the date of the prescription for treatment;
(9) an indication of any former referral or treatment in physiotherapy or occupational therapy in the case of the initial report;
(10) the date of the beginning of treatment;
(11) the frequency of treatment;
(12) an indication, where applicable, as to whether the treatment is for maintenance, for verification or for a special approach or whether there is a contraindication for the continuation of treatment; and
(13) the worker’s attendance record stating the dates of treatment administered and the dates of the worker’s absences for treatment, where applicable, except in the case of an initial report.
2. An initial report and a treatment termination report must contain, in addition,
(1) the date of taking charge and initial evaluation in the case of an initial report;
(2) the problems, goals and treatment plan in the case of an initial report; and
(3) in the case of a treatment termination report, the date of completion of treatment and, where applicable, the date of release from the physician in charge of the worker, as well as an evaluation of the worker’s condition upon the termination of treatment.
3. A progress report must contain, in addition to the information required by section 1,
(1) an evaluation of the worker’s subjective and objective signs;
(2) an analysis of the worker’s problems and the treatment plan;
(3) the changes in the worker’s condition;
(4) the reasons for and the date of any suspension of treatment; and
(5) the planned duration of any further treatment.
O.C. 288-93, Sch. III; O.C. 888-2007, s. 11; O.C. 757-2011, s. 4.